Ibrahim, Hazim

Ibrahim, Hazim is an sole proprietor health care provider with primary practice located at 7527 Thoroughbred Dr Apt 3D , Fort Wayne IN 46804. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ibrahim, Hazim can be contacted via phone (440) 840-3692.

Contact Information

Primary practice address
7527 Thoroughbred Dr Apt 3D Fort Wayne IN 46804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001283A Indiana

Profile Details

NPI number 1417337353
LBN Legal business name Ibrahim, Hazim
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Jul 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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